The Obama administration said Friday it is standing firm on requirements for employers to include contraception in workers’ insurance plans, in final rules that include an attempted compromise with some religiously-affiliated institutions but no opt-out for religious owners of private companies.

Under the rules, insurers will have to pick up the upfront cost of separate contraception coverage for workers at religious hospitals, universities and charities that say they have moral objections to birth control, including emergency contraception such as the morning-after pill.

That compromise has not assuaged a number of Catholic and evangelical Christian non-profit organizations that have filed lawsuits against the administration arguing they are being forced to fund practices they find objectionable. The nation’s Catholic bishops have also said that they won’t be satisfied unless the requirement is dropped altogether, because religious owners of for-profit companies are not allowed to opt out of it.

The fight over the federal health-care law’s contraception requirements has been rumbling for more than a year, as the administration tried to dampen the hostility of religious groups while not angering women’s health advocates that have long backed the inclusion of contraception in insurance plans without out-of-pocket costs. The administration said Friday it had received more than 400,000 comments as part of its final rule-making process.

“The health care law guarantees millions of women access to recommended preventive services at no cost,” said Health and Human Services Secretary Kathleen Sebelius. “Today’s announcement reinforces our commitment to respect the concerns of houses of worship and other non-profit religious organizations that object to contraceptive coverage, while helping to ensure that women get the care they need, regardless of where they work.”

The Becket Fund for Religious Liberty, a public-interest law group representing several of the groups suing to block the requirement, said the final rule was “the same old, same old”

“This doesn’t solve the religious conscience problem because it still makes our non-profit clients the gatekeepers to abortion and provides no protection to religious businesses,” said Eric Rassbach, deputy general counsel for the fund. “The easy way to resolve this would have been to exempt sincere religious employers completely, as the Constitution requires. Instead this issue will have to be decided in court.”

The rules come a day after the U.S. Court of Appeals for the 10th Circuit said that some for-profit companies have religious rights, and sent a challenge brought by the Hobby Lobby craft store chain against the requirement back to a federal district judge for further consideration.

Chiquita Brooks-LaSure, a deputy director at the Department of Health and Human Services office implementing the law, said in a conference call with reporters about the rules that she would not comment on ongoing litigation.

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